Ellis, Pierre2021-04-272021-04-272017-12-06Ellis, P. 2017. What is the most appropriate out-of-hospital opioid for adults with traumatic pain? Journal of Paramedic Practice, 9 (12), 528-535.1759-13762041-945710.12968/jpar.2017.9.12.528http://hdl.handle.net/20.500.12417/1080Methods: The literature search was carried out using multiple databases to identify relevant out-of-hospital research with additional grey literature to support. The main themes encountered were intravenous morphine compared to intravenous fentanyl, and the contrast between them. Discussion: There were no significant differences in effectiveness or adverse effects. Intranasal application was thought to be favoured where intravenous access was unobtainable. Conclusions: Further research is required to establish which is the most appropriate opioid. This could include a greater focus on the onset time, duration and optimal dose. Increased education and organisational focus would need to be addressed alongside a change in drug formulary for the out-of-hospital clinician. Abstract published with permission.enEmergency Medical ServicesOut-of-HospitalOpioidsPain ManagementTrauma Management